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Organization

YOUR WAY HOME CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JUANITA YVETTE SWAIN (ADMINISTRATOR)
(763) 533-3135
Entity
Organization

Contact information

Practice address
3260 BASS LAKE RD, SUITE C, BROOKLYN CENTER, MN 55429-2612
(763) 533-3135
(763) 533-3178
Mailing address
3260 BASS LAKE RD, SUITE C, BROOKLYN CENTER, MN 55429-3076
(763) 533-3135
(763) 533-3178

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
333467
MN

Other

Enumeration date
11/15/2006
Last updated
11/04/2011
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